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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Asymptomatic carotid lesions after endarterectomy of contralateral carotid artery. Five-year follow-up study and prognosis

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  1. Reoperation Rates in Ductal Carcinoma In Situ vs Invasive Breast Cancer After Wire-Guided Breast-Conserving Surgery

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  2. Incidence and Prognosis of Psoriasis and Psoriatic Arthritis in Patients Undergoing Bariatric Surgery

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  3. Reoperation rates for laparoscopic vs open repair of femoral hernias in Denmark: a nationwide analysis

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  4. Wound Healing and Infection in Surgery: The Clinical Impact of Smoking and Smoking Cessation: A Systematic Review and Meta-analysis

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  5. Deficits in surgical technical performance: prolonged effects of alcohol

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  1. Assessment of EVAR Competence: Validity of a Novel Rating Scale (EVARATE) in a Simulated Setting

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  2. Assessment of Competence in EVAR Procedures: A Novel Rating Scale Developed by the Delphi Technique

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  3. Assessment of Competence in EVAR Stent Graft Sizing and Selection

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  4. A National Needs Assessment to Identify Technical Procedures in Vascular Surgery for Simulation Based Training

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Of 185 patients who consecutively underwent carotid endarterectomy five years ago, 135 had a patent asymptomatic contralateral internal carotid artery (ICA). During follow-up (median, 59 months), 36 patients developed new neurologic symptoms (18 strokes and 18 transient ischemic attacks). Thirteen patients developed symptoms referable to the territory of the previously asymptomatic ICA (five strokes and eight transient ischemic attacks). Using life-table analysis, the annual stroke rate was estimated to be 1% and 2.2% considering the previously asymptomatic and symptomatic ICA, respectively. Separating patients according to the degree of stenosis on the preoperative angiogram and according to the presence of ulceration revealed a significantly higher incidence of neurologic events and strokes in patients with stenoses exceeding 50% and/or patients with obvious ulcerations. Although the risk of stroke without warning was increased in these subgroups, we did not consider the risk high enough to warrant prophylactic endarterectomy. An exception enough to warrant prophylactic endarterectomy. An exception may be the patient with a more than 90% stenosis.

Original languageEnglish
JournalArchives of surgery (Chicago, Ill. : 1960)
Volume122
Issue number7
Pages (from-to)795-801
Number of pages7
ISSN0004-0010
StatePublished - Jul 1987

    Research areas

  • Actuarial Analysis, Adult, Aged, Carotid Artery Diseases, Carotid Artery, Internal, Cerebrovascular Disorders, Endarterectomy, Female, Follow-Up Studies, Functional Laterality, Humans, Hypertension, Ischemic Attack, Transient, Male, Middle Aged, Prognosis, Vascular Patency

ID: 46028019